Servicing the Hunter for over 40 years

Make an Enquiry

Please complete the form below so we can get back to you and match an option to suit your care requirements.

  *-Required
Contact Person
First Name: *
Last Name: *
Email Address:
Phone Number: *

Enquiry
Service Required: Nursing Care
Disability Care
Respite
Other/not sure
*
Suburb Service Delivery: *
1. Who is it for: *
2. Age: *
3. Home Environment : Living with Partner
Living with relatives / Friends
Lives alone
*
4. When do you require services to commence?: Immediately
2 – 3 weeks
Other
*
5. Personal care needs : Does not require assistance
Assistance in Showering
Assistance in dressing
Assistance with continence management
Not certain
*
6. Medications: No medications
Webster Pack
Self medicating
Not certain
*
7. Domestic Assistance: Shopping
House Cleaning
Meal preparation
Companionship / social
Not certain
*
8. Nutrition: Able to maintain a healthy balanced diet
Needs assistance planning and preparing meals
Requires peg tube feeding
Not certain
*
9. Home Maintenance: Able to maintain current residence
Requires assistance with home maintenance and safety
*
10. Any current health problems: Arthritis
Dementia
Diabetes
Cancer
Stroke
Wounds
Other
*
11. Pension status if applicable : Aged Pension
Carer allowance
Disability Pension
Insurance funded
Veterans Affairs
*
Comments or any information you wish to tell us?: